Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment.

Infant with concomitant presence of hernia/hydrocele and primary paratesticular neuroblastoma: a diagnostic and therapeutic challenge.

Akramipour R, Zargooshi J, Rahimi Z

Department of Pediatrics, Medical School, Kermanshah University of Medical Sciences, Kermanshah, Iran. rezaakramipour@yahoo.com

We report an 8-month-old boy with stage 1 neuroblastoma, whose "testicular tumor" was removed during a "radical orchiectomy" by a pediatric surgeon who encountered a scrotal mass during a hernia repair. Pathologic examination of the specimen suggested seminoma and the surgeon sent the patient for cisplatin-based chemotherapy. However, follow-up examination showed a normal testis. Reexamination of the specimen in other laboratories proved neuroblastoma. The patient is tumor free after 36 months of follow-up. This case shows that in presence of hernia, distorted anatomy, and inguinal testis, paratesticular tumors can be misdiagnosed for the testis and cause great diagnostic and therapeutic difficulty.

Published 5 May 2009 in J Pediatr Hematol Oncol, 31(5): 349.
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